Summary: Application form (on plain paper)
AttachmentA)
President
Scuola Normale Superiore
Piazza dei Cavalieri, 7
56126 - PISA
The undersigned .............................................................born in ..................................(province of.......................)
on........................, resident in (city/town)................................................,
............................................................................................................(address, including postal code),
............................................ (personal tax identification/social security number)
REQUESTS
participation in the public selection based on the curriculum vitae, work to date and interview, for the awarding of
the position "Progetto Italia Fellowship at Scuola Normale Superiore" to a young scientist who will carry out
research activities in the Faculty of Sciences at the Scuola Normale Superiore in Pisa in the field of PHYSICS.
To that end, pursuant to art. 46 of the Italian Presidential Decree 445/2000, aware of the penalties provided for by
art. 76 of the same decree in case of false declarations, and responsible for the information
DECLARES
1) to be a citizen of .....................................................;
2) to have earned a degree in.............................................................. on .............................issued by the University
....................................................................., with the following results ..........................................................;